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Jeanine Marie Judge
Pediatric Nurse Practitioner in Anaheim, California
NPI 1730814633

Jeanine Marie Judge is a Pediatric Nurse Practitioner based in Anaheim, CA and is specialized in Pediatrics. Jeanine Marie Judge practices in Anaheim, CA. The NPI Number for Jeanine Marie Judge is 1730814633 and holds a License No. 95021642 (California).

The current practice location address for Jeanine Marie Judge is 2239 S Atlanta St, Anaheim, CA and can be reached out via phone at 714-609-2564.

Location: 2239 S Atlanta St, Anaheim, CA, 92802-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730814633
Provider Name
Jeanine Marie Judge
Credential
Provider Entity Type
Individual
Gender
Female
Address
2239 S Atlanta St, Anaheim, CA, 92802-3904
Phone Number
714-609-2564
Fax Number
Provider Enumeration Date
07/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2239 S Atlanta St
City
Anaheim
State
California
Zip
92802-3904
Phone Number
714-609-2564
Fax Number
person
Provider Business Mailing Address Details
Address
2239 S Atlanta St
City
Anaheim
State
California
Zip
92802-3904
Phone Number
714-609-2564
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95021642 (California)
Definition
Definition to come...
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